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Student Physical Form – available
online
Medical Health History – sections I and
II completed by student.
Physical Exam – section III completed by
a medical provider at exam.
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PPD same as TB or Mantoux
testing. All incoming nursing students starting
the nursing program Fall 2008 must have a two step TB
skin test done in August 2008. Only exception:
if for reasons of employment you have documentation of a TB skin
test done in 2007, you can meet the nursing requirement by repeating
a one step test in August 2008. You must provide
documentation of both the 2007 and 2008 test results.
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Immunization Records (childhood records –
The immunization record must show documentation of TWO
MMRs (Measles, Mumps and Rubella vaccines). If you do
not have documentation of two MMR vaccines, you must either schedule
an appointment with your medical provider to get the second vaccine,
OR provide documentation of titers, which are
blood tests, showing immunity to all three infections, OR
provide medical documentation of an allergic reaction which would
prevent you from getting the MMR vaccine.
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All nursing students updating their tetanus booster
need to request a Tdap injection (Tetanus, Diphtheria
and Pertussis).
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Varicella Immunity (Chickenpox) – One
of the following is required.
History of disease noted on the medical health history form
Documentation of a Varicella titer showing immunity
Documentation of two administered doses of Varicella vaccine
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Hepatitis B
First shot (provide copy of date given)
Second shot (provide copy of date given)
Third shot (provide copy of date given)
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Hepatitis B Titer
A Hepatitis B titer is done a minimum of six weeks after
the third Hepatitis B shot is complete. This titer is
needed to document that you have acquired immunity to Hepatitis
B through your series of three vaccinations. If your titer indicates
that you have not developed immunity, we will advise you to complete
a second three-shot Hepatitis B series, followed by a titer six
weeks after the third shot.
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Copy of the front and back of your major medical insurance
card. DWU requires that all full-time students carry
medical insurance. If you do not have private coverage, you will
need to purchase the insurance offered by DWU through Student
Assurance Services at finalization.
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Copy of current LPN license (if applicable).
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If you are an LPN, proof of current Health Care Provider
CPR is required. |
This
document is available for 